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HomeMy WebLinkAbout078-230-043AP WYNOKA HOMES �� ������ 5375 Crest ridge Dr.- " Orov' e hyo [Permit# 81/.-75B(new SF) /D3 AP '�' Gridley Plbg.� # 21l/ _75P(for 8 75)/l�Y��f AP -3--56-12 Ff-grmit# 23 1-75E(temP. power pole for 814-75) �'s��� 9140'17f- _ CONTR: Hudggitt Lighting & Elec. Permit #24 1-75E (elec, for permit #814-75) � S "- ' CONTR: Sweem' s 'AC, Oroville _ Permit# 3070-75M(for 8l4-75) ;n®y/- 05-0612 RABBITT, DANIEL 5375 CREST RIDGE DR,-OROVILLE Cont: COMM ACTIC N AG y ' REP WALL HTR i �1�;` 0 0"18- a-30- 043 y3 +�, - '' •�.. `•, i4� =i. i•t �♦ Y .i tet• �:. S7TRI4�DAMAGE'I REPORT'41 AP WYNOKA HOMES �� ������ 5375 Crest ridge Dr.- " Orov' e hyo [Permit# 81/.-75B(new SF) /D3 AP '�' Gridley Plbg.� # 21l/ _75P(for 8 75)/l�Y��f AP -3--56-12 Ff-grmit# 23 1-75E(temP. power pole for 814-75) �'s��� 9140'17f- _ CONTR: Hudggitt Lighting & Elec. Permit #24 1-75E (elec, for permit #814-75) � S "- ' CONTR: Sweem' s 'AC, Oroville _ Permit# 3070-75M(for 8l4-75) ;n®y/- 05-0612 RABBITT, DANIEL 5375 CREST RIDGE DR,-OROVILLE Cont: COMM ACTIC N AG y ' REP WALL HTR i �1�;` 0 0"18- a-30- 043 y3 ')AT E BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED NAME I DEPT. 11 DATE I NAME u DEPT. BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP050612 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. nuuornp Permn 01-16-04 vu 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 036-560-043-000 the Business and Professions Code, and my license is in full force and effect. License Class : 6 1 � License Number: t/ Z Site Address: 5375 CREST RIDGE DR ORO Dale: fkn �ntractor: Map Index: Description: replace wall heater 'OWNER -BU ER DECLARATIONOF I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a BABBITT DANIEL W &SAMANTHA L permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 5375 CRESTRIDGE DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Profesgions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: COMMUNITY ACTION AGENCY OF BUTTE such work himself or herself or through his or her own employees, COUNTY INC. provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of 2640 SOUTH 5TH AVENUE proving that he or she did not build or improve for the purpose of OROVILLE, CA 95965 sale.). (530)538-7559 El 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). Contractor: COMMUNITY ACTION AGENCY OF BUTTE ❑ I am Exempt under Article 3 of the Business and Professions Code COUNTY INC. Date: owner: 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: (530)538-7559 ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 617201 Is Issued. I have and will maintain workers' compensation Insurance, as I required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy ❑ 1 certify that in the performance of the work for which this permit Is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that If I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 1 v WARNIN : Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby Is ed under licable vithe Butte County Code nd/or I hereby affirm that there Is a construction lending agency for the en paid. Resolutions to do w Indicated a o for vyhich A�sws � 0~ performance of the work for which this permit Is issued (Sec 3097 Civ.) Dale: . Name: By: _ PERMIT EXPIRON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:m ��Y!(�•� S� Signature: Dale: ❑:owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. nuuornp Permn 01-16-04 vu 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Nameirst N e o Ctn Address Address rC' _ City State Zip City Phone3 Fax 5 51 E-mail k APPLICANT NAME CONTRACTOR Name C /-� o Ctn Address Zip 22 Zip City Subdivision Name Map State Zip Lot # State License Number Date Approved: _ Phone Fax E-mail Lic. # d r(i APPLICANT NAME ARCHITECT/ENGINEER Name Address City City Zip State Zip Phone Subdivision Name Map Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X Fofoffice use only: Zoning Flood Zone I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApp1SubRgmts.doc PERMIT NO. 57o Gl BIN # LOCATION AP# �l S :ren Property Address 01 City Cross Street WORKER'S COMPENSATION Policy Number O Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name /Vn Address Sq. Footage Pagel of 2 Description or Scope of Worrk:// C>O 0 Of"_ ` '. /( !'Pr. G / e ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Recei%ved�� _ (/— Receipt #: 01 u� Date,—Ado� Amount: SRA Sheriff SMIP Other Total Mr -V L -L4 -V0 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 6. Manufactured homes: (A) installation inst, (B) Marriage line info; (C) Floor Plan; -(D) Tie. down orfnd plans; all in ❑ duplicate. <_ Q 7. Metal bld s: A Metal Bldg Plans, B Fnd plans and calcs in triplicate, C 'Elevations in triplicate. D Floor . plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business lice nse,approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items -i -n y lie required after Plan Check and Planning~ review (May require additional plan review upon receipt of the following items.) . . - . • ° • . . . I- ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. - ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.'� `Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department.. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 NOTES RESIDENTIAL �' tOS-0612 PERMIT NO. 036-560-043 BABBITT, DANIEL 5375 CREST RIDGE DR, OROVILLE Cocit: COMM ACTION AGENCY REP WALL HTR rr 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature I I? y. I. if{ tr a i 4 t' f; f SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 3. 0 = Not OK NotReadyable MOBILE HOMES = 5. Date MOBILE HOME UTILITIES (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B=1 Date Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date. Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval :. 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10... Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B=1 Date Card B-1 Date Card B-1 J=OK o = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready Card B-1 Date Card B-1 Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O NoMalks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class 14-c- License Number:–� Dale: ? fl nlraclor: 'OWNER -BUILDER DECLARATIOW I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent.lo self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy #:_a � erl–� O 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: +S Applicant: WARNINFallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP050612 Issued Date: APN: 036-560-043-000 Site Address: 5375 CREST RIDGE DR ORO Map Index: Description: replace wall heater Owner: RABBITT DANIEL W & SAMANTHA L 5375 CRESTRIDGE DR OROVILLE, CA 95966 Applicant: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 Contractor: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE . OROVILLE, CA 95965 (530)538-7559 License #: 61.7201 Architect: Engineer: Total Square Ft: . Valuation: Census Code: 0 S. F. $0.00 CONSTRUCTION LENDING AGENCY This permit Is hereby Is ed under jhd 'aplir;able I hereby affirm that there Is a construction lending agency for the Resolutions to do wrR Indicated abo for vyhich performance of the work for which this permit Is Issued (Sec 3097 Civ.) By Name: PERMIT EXPIR ON: N the Butte County Code nd/or :n paid. r Dat s' Date: Address: ILtl1G� O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon theabovementioned property for Inspection purposes. Print Name:®� f _� Signature: c Dale: ,.El Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor o � o„iia;. D.—ii ni-ir,-na nn 1 A �°�iJTTL COUNTY BU LDING OFFICIALS Lpti� JURISDICTION ('0 Block Parcel No. 'Detailed Evaluation Safety Assessment Form 1 Wr I -.o. New Address: %�73 :7 r L a s -r- Pj Y0 6 No. of Stories: i'• Basement: Yes ❑ No ©' Unknown ❑ Approximate Age: 'Years Approximate Area: ! _Square feet Structural System: Wood Frame �Unreinforced Masonry [IReinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ Steel Frame ❑ Other La&/r Primary Oc upancy: Dwelling (Other Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ Other OVERALL RATING: (Check One) INSPECTED (Green) LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) INSPECTOR Inspector ID K6�A Affiliation 0 INSPECTION DATE: Mo/day/year ./_- Time � ' am m Instructions: Complete building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None ❑ Inspected (Green) ❑ ❑ Limited Entry (Yellow) ❑ ❑ Unsafe (Red) ❑ ❑ Reco mendations: No further action required. ❑ Engineering Evaluation required (circle one). ❑ Barricades needed in the following areas: �. Posted at this Assessment: ❑ Yes ❑ No Existing posting by: Structural Geotechnical Other ❑ Other (falling hazard removal, shoring/bracing required, etc.): Comments (Why posted Unsafe, etc.): Sheet of Detailed Evaluation Safety Assessment Form (Continued) Instructions: Examine the building to determine if any hazardous conditions exist A "yes" answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. If condition is suspected to be unsafe and snore review is needed, check appropriate Unknown box(es) and post LIMITED ENTRY. A "yes" answer in category 3 requires posting and/or barricading to indicate AREA UNSAFE. Explain "Yes", "Unknown" findings and extent of damage under "Comments." Hazardous Condition Exists Condition Yes No Unknown Comments 1. Structure Hazardous Overall Collapse/partial collapse ❑ ❑ ❑ Building or story leaning ❑ ❑ ❑ Other ❑ ❑ ❑ 2. Hazardous Structural Elements Foundations ❑ ❑ ❑ Roof/floors (vertical loads) ❑ ❑ ❑ Columns/pilasters/corbels ❑ ❑ ❑ Diaphragms/horizontal bracing E]❑ 1:1Walls/vertical bracing Momeetframes Precast connections ❑ ❑ Other ❑ ❑ ❑ ❑ ❑ ❑ 3. Nonstructural Hazards Parapets/ornamentation ❑ ❑ ❑ Cladding/glazing ❑ ❑ ❑ Ceilings/light fixtures ❑ ❑ ❑ Interior walls/partitions ❑ ❑ ❑ Elevators ❑ ❑ ❑ Stairs/exits ❑ ❑ ❑ Electric/gas ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ ❑ ❑ 4. Geotechnical Hazards Slope failure/debris . ❑ . ❑ ❑ Ground movement, fissures ❑ ❑ ❑ Other ❑ ❑ ❑ SKETCH: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sheet _ of 0 :4i . I ` tq,625 `l. -5o Name Reporting P Address/Location Telephone Numbe PUBLIC INFORMATION OFFICER 538-6953 DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 Why Calling? FC.od�') 46A (Note: Medical Emergencies Refer to 911) Building Descriation ► Commercial/Usage Residential Type and # Units 2 t r.�,�r✓ r i� r Currently Occupied/Use 0CC.1 s Ahanrinned Sanitation Plumbing Working' Running water Well Flooded Obvious Problems Structure On/Off Foundation Flooding above/below floor ARb j5- E�LZ- LEV F -t. 2 1414N ER Obvious leaning, tilting Severe Damage/Collapse Debris Hazard Gas - Natural/Propane 414 2 Obvious problems (odor, leaks, leaks, propane tank floating/submerged) '*� /ll Electric Any electrical submerged 50AX 1-1 Obvious damage (failure, downed wires, arcing)616-' $ Urr(c' �-�7-`S'a3�-SG-o- (::7� 000' PUBLIC INFORMATION OFFICER 538-6953 DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 Name Reporting Party �����_� S 911-1- Address/Location ►fTAddress/Location 5 3 7 5 0-29-5 T fZt � i5f- 0126ut 1.c, f- C rTry Telephone Number 53q- 3s y55 Why Calling? FC04 6Al F (Note: Medical Emergencies Refer to 911) Building Description- Commercial/Usage Residential Type and # Units i2s�� �.✓ri�r_ Currently Occupied/Use _')cam P Abandoned Sanitation Plumbing working Running water Well Flooded Obvious Problems Structure On/Off Foundation Flooding above/below floor Agau;7 f=r 6f2_ F L- 2 �' uni>, Obvious leaning, tilting Severe Damage/Collapse Debris Hazard Gas ...`�._,`, . •- • s�'.1 Natural/Propane _N : 14 2A Obvious problems (odor, leaks, leaks, propane tank floating/submerged) 14 /ll Electric Any electrical submerged Safl^ �L. Obvious damage (failure, downed wires, arcing) Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage Livestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) Involved Utilities (downed wires) Levees Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks . . Overflow/freeboard By Copies: 1. OES 2. Health 3. Building 4. Agriculture - 5. Fire 6. Sheriff PERMIT NO. 81L -75B P is E M MH UTIL. ,,PERMIT NO. PERMIT EXPIRES OWNER Wynoka Homes .CONTR. LOCATION (A.P.. 36-56-43 T 5375 Crestridge Dr., groville CiI� �� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp.—Gas Serv. Called PG&E JOB HALED (Dat%5 (Sign ure) �C, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING -tback .S7J Firewall Soil Piping Forms Parapets 1st Floor iV ain Bldg. - - Restroom Finish 2nd Floor )Footings -7cS' Windows -4 - 3rd Floor Stemwal I - Z' Sidinci To out Slab -74-- Roof Sheathing " ZQ - Water Piping r- is Piers Roofing - - Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents - ^% Water Htr. Stemwall 7S Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test �- Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures -4-7 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. � - .f Scratch 7 Heating Service - 3 - Brown Cooling Temp. Pole 7J— Finish Ducts r Underground Interior Lath Ventilation Permanent Door Closer ✓ Final„__ Final —4 - DATE REMARKS OR CORRECTIONS v X40 Cd V e- -� 9-4 r THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED' IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: s37Si 1/vim PAZ Street Lot Number Tract No. EXTERIOR WALLS ManufacturThickness/Type 3 (Z R Value 1 i CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer "c Thickness F 3��.. No. Bags u Wt./Bag Sq. Ft. Covered 960 R Value_ / !!� FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS 911010869 OO-gg'Me° Manufacturer 1,? 0- BOX 1600 Thickness/Type RV e !`UML`D A21-�1`00-M Ar.�D r...nv.ille., Calif. 55465 T T1-rXTCr T.T.. BYG �� siorz�� STITLE3d —DATE —2-2J INSULA CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925 BY TITLE GSL— DATE— % I/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —' 10roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 3070-75` authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��v Date Signature of ermitee^ee� or Agent Receipt No.�1,/,5�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fee ave been p O20`UBLIC WORKS B DateZ Z Building permit ewes Date /S� 7 5 BUILDING Owner �j0�/ O SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address j 1 n Permit Fee Plan Checking Fee &/or Penalty ® Tele one No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / /, A. P. No. ;Srrj r7� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. .Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 4B.Gc1 ec d I Parcel Approval I Plans Approval Permit Fee $ ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 'YYY Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ,o License No. I S3 Y �% Classification (� �U Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. f7KI have placed on file with the County of Butte a certificate of 1�Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE 3.00. Heating , Cooling Ventilation Hood 2.00 Z OLe Permit Fee $ / $/a Q I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��v Date Signature of ermitee^ee� or Agent Receipt No.�1,/,5�- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fee ave been p O20`UBLIC WORKS B DateZ Z Building permit ewes Date /S� 7 5 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a���� 2 7 County Center Drive — Orovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT V authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent_ Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Cod nd/or resplutions to do work indicated above for wh' ve bee aid. CTO F' PUBLIC WORKS 3y Date adlllk g permit expires Date.....,�p& ,l.G�....... BUILDING Owner HG SQ. FT. OCC. BUILDING VALUATION Mailing Address �dp 1. Telephone No. 2 3 —2-7Ta Fireplace Contractor Total Valuation Mailing Address 2- Br Permit Fee Plan Checking Fee &/or Penalty Z11)$ til .— C Telephone No. ,2 6 Permit Fee $ Building Address7 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� —�'� �!� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHERa ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 as i Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 aryl ss) (more than 12) S'o Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Ra ge, Cook -top or Oven / 1.00 p d Water Heater or Space Heater 1.00 Light fixtures O yalp 5 o Rg� s., swi es & fix o sZZ , CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: .ZG ristii // /Y U�9i�// Hood, x. Fan or F. A. Furn. Motor / 1.00 pa Evap. c ler, gar. disp. or D.W. 1.00 Oa Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Licen No.Z,Z9 /9/0 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ - WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $a0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent_ Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Cod nd/or resplutions to do work indicated above for wh' ve bee aid. CTO F' PUBLIC WORKS 3y Date adlllk g permit expires Date.....,�p& ,l.G�....... J COUNTY OF BUTTE -' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT Owner Mailing Address Contractor r, Mai I i ng Address Building Address fi37�j /j1��1� Telephone No. Telephone No. v - &v t A. P. No. /3 `P S (p y3 Zoning & Planning Fe W`C: SaR4attwd Fire Dept. Fire Zone Use Permit EQA I Parking Plans Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements Bldg. Plans Rec'd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER tiz W2� 11 O/Q f'61PA4 i 7- -� - 75- Single SSingle Family W Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification `1 �'— I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio d property f sp ction purposes. X pate l- -lP 7-Za ignature of Permi tee or Agent Receipt No. -3:5 O -,10� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 4 a36i 2s BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace $ Total Valuation No.1 @ I FEE Permit Fee $3.00 p� Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent Gas piping system 1 - 5 outlets 1.50 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 p� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b01010 Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring Permit Fee $ -- MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.001 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 009 TOTAL PERMIT FEE is c� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI CTOZOUBLIC WORKS BY Date �--C-7 7 1 S 67CXI- Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS//�— 7� 7 County Center Drive-- . Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` $ignature of Permitee orAgent Receipt No. —Lf — go! � � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS BtT–`A J Date s SC__ 1d=_ Building permit a Ines Date BUILDING Owner u,% AJ)::�A- 1 G SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address ROD a Telephone No. S331'2-73 0 Fireplace Contractor Total Valuation Mailing Address V 1. Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,®.p Each Trap S 1.50 >_ q -U b>�O Repair drainage or vent piping 1.50 Water piping r 1.50 Lot l0 3 Each gas water heater or vent / 1.50 S .� A. P. No. – -G- 4 Zoning & Planning Gas piping system 1 - 5 outlets ► 1.50 – U Each additional outlet .30 F W`15.1 # Fire Dept. Fire Zone Use Permit Building sewer f 5.00 ,S p EQA Parking Plans ParcelLawn Declaration Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ zcv.wO,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b �2 Receps., switches & fix outlets 20 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr fessions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �E License No.��C�7 / Classification C– �� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 19 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` $ignature of Permitee orAgent Receipt No. —Lf — go! � � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS BtT–`A J Date s SC__ 1d=_ Building permit a Ines Date 4 COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WO S 7 County Center Drive—' •Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aurr1v114c ICPT1!bt11tGtIVUb 01 trre tJounty o1 outte to enter upon the above-mentioned property for ' pection purposes. / X Date Sig ature of Peerrmitte^e or Ag nt Receipt No. Zal White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKSoe ✓ By �!`!�4`ieZ� Date 2`2u.S Building permit expires Date ......%�Z.�� BUILDING OwnerWa SQ. FT. OCC. BUILDING VALUATION Mailing Address ©, L Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee e� Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ />� ��� Building Address L" PLUMBING No. @ FEE PERMIT FILING FEE $2.00 // /¢ L� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - �(O — 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Q� Each additional outlet .30 F"—sF"-st W. S FIreDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W. Im roveme is P Lawn sprinkler system 2.00 BI g. . Recd Parcel A royal Plan prowl Permit Fee $ $ NEW Co ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 91 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2002 balh)Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 4,1g -/w Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 /� License No. � Classification / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. fSa I have placed on file with the County of Butte a certificate of J�V Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE �O —, PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aurr1v114c ICPT1!bt11tGtIVUb 01 trre tJounty o1 outte to enter upon the above-mentioned property for ' pection purposes. / X Date Sig ature of Peerrmitte^e or Ag nt Receipt No. Zal White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKSoe ✓ By �!`!�4`ieZ� Date 2`2u.S Building permit expires Date ......%�Z.��